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Organization
WOODSIDE VISION INC
Active
Organization
WOODSIDE VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA JELENA BURBURAN OD (OPTOMETRIST)
(718) 255-1040
Entity
Organization
Contact information
Practice address
5311 BROADWAY, WOODSIDE, NY 11377-1730
(718) 255-1040
Mailing address
5311 BROADWAY, WOODSIDE, NY 11377-1730
(718) 255-1040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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